Bonwich, Janina B

Bonwich, Janina B is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bonwich, Janina B can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 614-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E2464 Arkansas

Profile Details

NPI number 1689662090
LBN Legal business name Bonwich, Janina B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689662090 NPPES
Arkansas MEDICAID 140628001
Arkansas MEDICAID 100025760A

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